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EPA guidance on cultural competence training

Part of: EPA Guidance Papers

Published online by Cambridge University Press:  16 April 2020

Meryam Schouler-Ocak ,
Iris T. Graef-Calliess ,
Ilaria Tarricone ,
Adil Qureshi ,
Marianne C. Kastrup  and
Dinesh Bhugra
Meryam Schouler-Ocak*
Affiliation:
Psychiatric University Clinic of Charité at St. Hedwig's Hospital, Große Hamburger Straße 5 - 11, 10115Berlin, Germany
Iris T. Graef-Calliess
Affiliation:
Center for Transcultural Psychiatry & Psychotherapy, Wahrendorff Clinic, Sehnde/Hannover, Research group for Intercultural Psychiatry, Medical School of Hannover, Germany
Ilaria Tarricone
Affiliation:
Department of Medical and Surgical Sciences, Section of Psychiatry, Bologna University, Italy
Adil Qureshi
Affiliation:
Servei de Psiquiatria Hospital Universitari Vall d’Hebron, Barcelona, Spain
Marianne C. Kastrup
Affiliation:
Competence centre Transcultural Psychiatry, Psychiatric Center Ballerup, Copenhagen, Denmark
Dinesh Bhugra
Affiliation:
Institute of Psychiatry at King's College London, UK
*
*Corresponding author. Psychiatric University Clinic of Charité at St. Hedwig's Hospital, Große Hamburger Straße 5 - 11, 10115 Berlin, Germany. E-mail address:[email protected] (M. Schouler-Ocak).
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Abstract

The stress of migration as well as social factors and changes related to the receiving society may lead to the manifestation of psychiatric disorders in vulnerable individuals after migration. The diversity of cultures, ethnicities, races and reasons for migration poses a challenge for those seeking to understand how illness is experienced by immigrants whose backgrounds differ significantly from their clinicians. Cultural competence represents good clinical practice and can be defined as such that a clinician regards each patient in the context of the patient's own culture as well as from the perspective of the clinician's cultural values and prejudices. The EPA Guidance on cultural competence training outlines some of the key issues related to cultural competence and how to deal with these. It points out that cultural competence represents a comprehensive response to the mental health care needs of immigrant patients and requires knowledge, skills and attitudes which can improve the effectiveness of psychiatric treatment. To reach these aims, both individual and organizational competence are needed, as well as teaching competence in terms of educational leadership. The WPA Guidance on Mental Health and Mental Health Care for Migrants and the EPA Guidance on Mental Health Care for Migrants list a series of recommendations for policy makers, service providers and clinicians; these are aimed at improving mental health care for immigrants. The authors of this paper would like to underline these recommendations and, focusing on cultural competency and training, believe that they will be of positive value.

Keywords

ImmigrantsMental healthEPA GuidanceCultural competenceTrainingGood clinical practice
Type
Original article
Information
European Psychiatry , Volume 30 , Issue 3: Special issue: EPA Guidance papers , March 2015 , pp. 431 - 440
Copyright
Copyright © Elsevier Masson SAS 2015

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References

Aichberger, MC, Schouler-Ocak, M, Busch, M, Mundt, A, Nickels, E, Heimann, HM, et al.Depression in middle-aged and older first generation migrants in Europe: results from the survey of health, ageing and retirement in Europe (SHARE). Eur Psychiatry 2010;25(8):468–475.CrossRefGoogle Scholar
American College of Clinical Pharmacy, O’Connell, MB, Jackson, AN, Karaoui, LR, Rodriguez de Bittner, M, Chen, AM, et al.Cultural competency in health care and its implications for pharmacy part 3B: emphasis on pharmacy education policy, procedures, and climate. Pharmacotherapy 2013;33(12):e368–e381.Google ScholarPubMed
Andresen, J. Cultural competence and health care: Japanese, Korean, and Indian patients in the United States. J Cult Divers 2001;8(4):109–121.Google ScholarPubMed
Appleby, L. Services for ethnic minorities: a question of trust. Psychiatr Bull 2008; 32: 401–402.CrossRefGoogle Scholar
Bauer, AM, Alegría, M. Impact of patient language proficiency and interpreter service use on the quality of psychiatric care: a systematic review. Psychiatr Serv 2010;61(8):765–773.CrossRefGoogle ScholarPubMed
Betancourt, JR, Green, AR, Carrillo, JE, et al:, . Cultural competence and health care disparities: key perspectives and trends. Health Affairs 2005; 24: 499–505.CrossRefGoogle ScholarPubMed
Bhugra, D, Gupta, S, Schouler-Ocak, M, Graeff-Calliess, I, Deakin, NA, Qureshi, A, et al.EPA Guidance mental health care of migrants. Eur Psychiatry 2014;29(2):107–115.CrossRefGoogle ScholarPubMed
Bhugra, D, Gupta, S, Bhui, K, Craig, T, Dogra, N, Ingleby, JD, et al.WPA guidance on mental health and mental health care in migrants. World Psychiatry 2011;10(1):2–10.CrossRefGoogle ScholarPubMed
Bhugra, D, Becker, M. Migration, cultural bereavement and cultural identity. World Psychiatry 2005; 4: 18–24.Google ScholarPubMed
Bhugra, D. Migration and mental health. Acta Psychiatr Scand 2004;109(4):243–258.CrossRefGoogle ScholarPubMed
Bhugra, D, Mastrogianni, A. Globalisation and mental disorders. Overview with relation to depression. Br J Psychiatry 2004; 184: 10–20.CrossRefGoogle ScholarPubMed
Bhui, K, Warfa, N, Edonya, P, McKenzie, K, Bhugra, DCultural competence in mental health care: a review of model evaluations. BMC Health Serv Res 2007;7–15.Google ScholarPubMed
Bhui, K, Abdi, A, Abdi, M, Pereira, S, Dualeh, M, Robertson, D, et al.Traumatic events, migration characteristics and psychiatric symptoms among Somali refugees-preliminary communication. Soc Psychiatry Psychiatr Epidemiol 2003;38(1):35–43.CrossRefGoogle ScholarPubMed
Bhui, K, Ascoli, M, Nuamh, O. The place of race and racism in cultural competence: what can we learn from the English experience about the narratives of evidence and argument?. Transcult Psychiatry 2012;49(2):185–205.CrossRefGoogle ScholarPubMed
Boehnlein, JK, Leung, PK, Kinzie, JD. Cross-cultural psychiatric residency training: the Oregon experience. Acad Psychiatry 2008;32(4):299–305.CrossRefGoogle ScholarPubMed
Brach, C, Fraser, I. Can cultural competency reduce racial and ethnic health disparities? A review and conceptual model. Med Care Res Rev 2000; 57: 181–217.CrossRefGoogle ScholarPubMed
Braca, M, Berardi, D, Mencacci, E, Belvederi Murri, M, Mimmi, S, Allegri, F, et al.Understanding psychopathology in migrants: a mixed categorical-dimensional approach. Int J Soc Psychiatry 2014;60(3):243–253.CrossRefGoogle ScholarPubMed
Brannigan, MC. Connecting the dots in cultural competency: institutional strategies and conceptual caveats. Camb Q Health Ethics 2008;17(2):173–184.CrossRefGoogle ScholarPubMed
Bursztein, LC, Makinen, IH, Apter, A, De Leo, D, Kerkhof, A, Lonnqvist, J. Attempted suicide among immigrants in European countries: an international perspective. Soc Psychiatry Psychiatr Epidemiol 2012;47(2):241–251.CrossRefGoogle Scholar
Buscemi, CP, Williams, C, Tappen, RM, Blais, K. Acculturation and health status among Hispanic American elders. J Transcult Nurs 2012;23(3):229–236.CrossRefGoogle ScholarPubMed
Butow, PN, Aldridge, L, Bell, ML, Sze, M, Eisenbruch, M, Jefford, M, et al.Inferior health-related quality of life and psychological well-being in immigrant cancer survivors: a population-based study. Eur J Cancer 2013;49(8):1948–1956.CrossRefGoogle ScholarPubMed
Butow, PN, Lobb, E, Jefford, M, Goldstein, D, Eisenbruch, M, Girgis, A, et al.A bridge between cultures: interpreters’ perspectives of consultations with migrant oncology patients. Support Care Cancer 2012;20(2):235–244.CrossRefGoogle ScholarPubMed
Carpenter-Song, EA, Nordquest Schwallie, M, Longhofer, J. Cultural competence reexamined: critique and directions for the future. Psychiatr Serv 2007;58(10):1362–1365.CrossRefGoogle ScholarPubMed
Carta, MG, Bernal, M, Hardoy, MC, Haro-Abad, JM. Report on the Mental Health in Europe Working Group. Migration and mental health in Europe (the state of the mental health in Europe working group: appendix 1). Clin Pract Epidemiol Ment Health 2005;1:13.CrossRefGoogle Scholar
Cattacin, S, Chimienti, M, et al.Difference sensitivity in the field of migration and health. National policies compared. Geneva: Working Paper No. 1 of the Department of sociology of the University of Geneva; 2007.Google Scholar
Celik, H, Abma, TA, Klinge, I, Widdershoven, GA. Process evaluation of a diversity training program: the value of a mixed method strategy. Eval Program Plann 2012;35(1):54–65.CrossRefGoogle ScholarPubMed
Chiarenza, ADevelopments in the concept of cultural competence. Ingleby, D, Chiarenza, A, Devillé, WKotsioni, I, Inequalities in health care for migrants and ethnic minorities. Antwerp: Garant; 2012. 66–81.Google Scholar
Chiarenza, A, Robinson, J, Spilker, R, HPH TF MFCCH Task Force on migrant-friendly, culturally competent health care: developing standards for assessing equity of access, quality of health care for migrants, other vulnerable groups Workshop of the Task Force MFCCH. Turku: International HPH Conference, 1st–3rd June 2011. [last access: 06.02.2012] http://www.ausl.re.it/HPH/FRONTEND/Home/DocumentViewer.aspx?document_id=1151.Google Scholar
Cross, T, Bazon, B, Isaacs, Towards a culturally competent system of care. volume I. Washington DC: Georgetown University Child Development Center, CASSP Technical Assitance center; 1989.Google Scholar
Crumlish, N, O’Rourke, K. A systematic review of treatments for post-traumatic stress disorder among refugees and asylum-seekers. J Nerv Ment Dis 2010;198(4):237–251.CrossRefGoogle ScholarPubMed
Dastjerdi, M. The case of Iranian immigrants in the greater Toronto area: a qualitative study. Int J Equity Health 2012;11:9.CrossRefGoogle ScholarPubMed
De Jong, , Van Ommeren, M. Mental health services in a multicultural society: interculturalization and its quality surveillance. Transcult Psychiatry 2005;42(3):437–456.CrossRefGoogle Scholar
http://de.statista.com/statistik/daten/studie/73995/umfrage/auslaenderanteil-an-derbevoelkerung-der-laender-der-eu27/.Google Scholar
Devillé, W, Greacen, T, Bogic, M, Dauvrin, M, Dias, S, Gaddini, A, et al.Health care for immigrants in Europe: is there still consensus among country experts about principles of good practice? A Delphi study. BMC Public Health 2011;11:699.CrossRefGoogle Scholar
American Psychiatric Association Diagnostical and Statistical Manual of Mental Disorders. Fifth Edition DSM V. Washington DC, London, England: American Psychiatric Publishing; 2013.Google Scholar
Echeverri, M, Brookover, C, Kennedy, K. Factor analysis of a modified version of the California Brief Multicultural Competence Scale with minority pharmacy students. Adv Health Sci Educ Theory Pract 2011;16(5):609–626.CrossRefGoogle ScholarPubMed
Eisenbruch, M. From post-traumatic stress disorder to cultural bereavement: diagnosis of Southeast Asian refugees. Soc Sci Med 1991; 33: 673–680.CrossRefGoogle ScholarPubMed
European Commission 2009.Google Scholar
Flores, G. Culture and the patient-physician relationship: achieving cultural competency in health care. J Pediatr 2000;136(1):14–23.CrossRefGoogle ScholarPubMed
Fung, K, Lo, HT, Srivastava, R, Andermann, L. Organizational cultural competence consultation to a mental health institution. Transcult Psychiatry 2012;49(2):165–184.CrossRefGoogle ScholarPubMed
Fung, K, Andermann, L, Zaretsky, A, Lo, HT. An integrative approach to cultural competence in the psychiatric curriculum. Acad Psychiatry 2008;32(4):272–282.CrossRefGoogle ScholarPubMed
Gerritsen, AA, Bramsen, I, Devillé, W, van Willigen, LH, Hovens, JE, van der Ploeg, HM. Use of health care services by Afghan, Iranian, and Somali refugees and asylum seekers living in The Netherlands. Eur J Public Health 2006;16(4):394–399.CrossRefGoogle ScholarPubMed
Gregory, H Jr., Van Orden, O, Jordan, L, Portnoy, GA, Welsh, E, Betkowski, J, et al.New directions in capacity building: incorporating cultural competence into the interactive systems framework. Am J Community Psychol 2012;50(3–4):321–333.CrossRefGoogle ScholarPubMed
Griner, D, Smith, TBCulturally adapted mental health intervention: a meta-analytic review. Psychotherapy (Chic) 2006;43:531–548.CrossRefGoogle ScholarPubMed
Gulati, S, Watt, L, Shaw, N, Sung, L, Poureslami, IM, Klaassen, R, et al.Communication and language challenges experienced by Chinese and South Asian immigrant parents of children with cancer in Canada: implications for health services delivery. Pediatr Blood Cancer 2012;58(4):572–578.CrossRefGoogle ScholarPubMed
Harris, TL, McQuery, J, Raab, B, Elmore, S. Multicultural psychiatric education: using the DSM-IV-TR Outline for Cultural Formulation to improve resident cultural competence. Acad Psychiatry 2008;32(4):306–312.CrossRefGoogle ScholarPubMed
Heinz, A, Kluge, U. Mental health in different groups of migrants and ethnic minority within Europe and beyond: regional and cross-national challenges and approaches in research, practice and training. Eur Psychiatry 2012;27(2):S1–S3.CrossRefGoogle ScholarPubMed
Hickling, FW, Paisley, V. Issues of clinical and cultural competence in Caribbean migrants. Transcult Psychiatry 2012;49(2):223–244.CrossRefGoogle ScholarPubMed
Hoagwood, KE, Kelleher, K, Murray, LK, Jensen, PS. Integrated Services Program Task Force. Implementation of evidence-based practices for children in four countries: a project of the World Psychiatric Association. Rev Bras Psiquiatr 2006;28(1):59–66.CrossRefGoogle ScholarPubMed
Hoke, MM, Robbins, LK. Continuing the cultural competency journey through exploration of knowledge, attitudes, and skills with advanced practice psychiatric nursing students: an exemplar. Nurs Clin North Am 2011;46(2):201–5, vi.CrossRefGoogle Scholar
Hornberger, JC, Gibson, CD Jr., Wood, W, Dequeldre, C, Corso, I, Palla, B, et al.Eliminating language barriers for non-English-speaking patients. Med Care 1996;34(8):845–856.CrossRefGoogle ScholarPubMed
Hovey, JD. Acculturative stress, depression, and suicidal ideation among Central American immigrants. Suicide Life Threat Behav 2000; 30: 125–139.Google ScholarPubMed
Hultsjö, S, Hjelm, K. Immigrants in emergency care: Swedish health care staff's experiences. Int Nurs Rev 2005;52(4):276–285.CrossRefGoogle ScholarPubMed
Idemudia, ES, Williams, JK, Wyatt, GE. Migration challenges among Zimbabwean refugees before, during and post arrival in South Africa. J Inj Violence Res 2013;5(1):17–27.CrossRefGoogle ScholarPubMed
Jain, G, Mazhar, MN, Uga, A, Punwani, M, Broquet, KE. Systems-based aspects in the training of IMG or previously trained residents: comparison of psychiatry residency training in the United States, Canada, the United Kingdom, India, and Nigeria. Acad Psychiatry 2012;36(4):307–315.CrossRefGoogle ScholarPubMed
Johnsen, BH, Meeùs, P, Meling, J, Rogde, T, Eid, J, Esepevik, R, et al.Cultural differences in emotional intelligence among top officers on board merchant ships. Int Marit Health 2012;63(2):90–95.Google ScholarPubMed
Kastrup, M. Staff competence in dealing with traditional approaches. Eur Psychiary 2008;23(1):59–68.CrossRefGoogle ScholarPubMed
Kirmayer, LJ. Rethinking cultural competence. Transcult Psychiatry 2012;49(2):149–164.CrossRefGoogle ScholarPubMed
Kirmayer, LJ. Cultural competence and evidence-based practice in mental health: epistemic communities and the politics of pluralism. Soc Sci Med 2012; 75: 249–256.CrossRefGoogle ScholarPubMed
Kirmayer, LJ, Rousseau, C, Guzder, J, Jarvis, GE. Training clinicians in cultural psychiatry: a Canadian perspective. Acad Psychiatry 2008;32(4):313–319.CrossRefGoogle ScholarPubMed
Kirmayer, LJ, Rousseau, C, Corin, E, Groleau, D. Training researchers in cultural psychiatry: the McGill-CIHR Strategic Training Program. Acad Psychiatry 2008;32(4):320–326.CrossRefGoogle ScholarPubMed
Kirmayer, LJ, Fung, K, Rousseau, C, Lo, HT, Menzies, P, Guzder, J, et al.Guidelines for training in cultural psychiatry – position paper. Canadian J Psychiatry 2012;57(3):1–17.Google Scholar
Kirmayer, LJ. Embracing uncertainty as a path to competence: cultural safety, empathy, and alterity in clinical training. Cult Med Psychiatry 2013;37(2):365–372.CrossRefGoogle ScholarPubMed
Kleinman, A. Epilogue. Mental health in different groups of migrants and ethnic minority in Europe and beyond. Eur Psychiatry 2012;27(2):S81S82.CrossRefGoogle ScholarPubMed
Kleinman, A, Benson, P. Anthropology in the clinic: the problem of cultural competency and how to fix it. PLoS Med 2006;3(10):e294.CrossRefGoogle ScholarPubMed
Kleinman, A, Rethinking psychiatry–from cultural category to personal experience. New York: Free Press; 1988.Google Scholar
Kleinman, A. Major conceptual and research issues for cultural (anthropological) psychiatry. Cult Med Psychiatry 1980;4(1):3–23.CrossRefGoogle ScholarPubMed
Knipper, M. Joining ethnography and history in cultural competence training. Cult Med Psychiatry 2013; 37: 373–384.CrossRefGoogle ScholarPubMed
Laban, CJ, Gernaat, H.B.P.E., Komproe, IH, Van Tweel, I, De Jong, J.T.V.M.. Post migration living problems and common psychiatric disorders in Iraqi asylum seekers in the Netherlands. J Nerv Ment Dis 2005; 193: 825–832.CrossRefGoogle ScholarPubMed
Laban, CJ, Komproe, IH, Gernaat, H.B.P.E., De Jong, J.T.V.M.. Impact of a long asylum procedure on quality of life, disability and physical health in Iraqi asylum seekers in the Netherlands. Soc Psychiatry Psychiatr Epidemiol 2008; 43: 507–515.CrossRefGoogle ScholarPubMed
Lederbogen, F, et al.City living and urban upbringing affect neural social stress processing in humans. Nature 2011; 474: 498–501.CrossRefGoogle Scholar
Lie, DA, Lee-Rey, E, Gomez, A, Bereknyei, S, Braddock, CH. 3rd. Does cultural competency training of health professionals improve patient outcomes? A systematic review and proposed algorithm for future research. J Gen Intern Med 2011;26(3):317–325.CrossRefGoogle ScholarPubMed
Lim, RF, Luo, JS, Suo, S, Hales, RE. Diversity initiatives in academic psychiatry: applying cultural competence. Acad Psychiatry 2008;32(4):283–290.CrossRefGoogle ScholarPubMed
Lindert, J, Schouler-Ocak, M, Heinz, A, Priebe, S. Mental health and health care consumption among migrants in Europe. Eur Psychiatry 2008;23(1):14–20.CrossRefGoogle ScholarPubMed
Livingston, G, Leavey, G, Kitchen, G, Manela, M, Sembhi, S, Katona, C. Mental health of migrant elders - the Islington study. Br J Psychiatry 2001; 179: 361–366.CrossRefGoogle ScholarPubMed
Maffla, C. Health in the age of migration: migration and health in the EU. Community Pract 2008;81(8):32–35.Google ScholarPubMed
Mahoney, JS, Carlson, E, Engebretson, JC. A framework for cultural competence in advanced practice psychiatric and mental health education. Perspect Psychiatr Care 2006;42(4):227–237.CrossRefGoogle ScholarPubMed
Martínez, LC. DSM-IV-TR cultural formulation of psychiatric cases: two proposals for clinicians. Transcult Psychiatry 2009;46(3):506–523.CrossRefGoogle ScholarPubMed
Mendez, JL, Westerberg, D. Implementation of a culturally adapted treatment to reduce barriers for Latino parents. Cult Divers Ethnic Minor Psychol 2012;18(4):363–372.CrossRefGoogle ScholarPubMed
Mezzich, JE, Caracci, G, Fabrega, H Jr., Kirmayer, LJ. Cultural formulation guidelines. Transcult Psychiatry 2009;46(3):383–405.CrossRefGoogle ScholarPubMed
Mian, AI, Al-Mateen, CS, Cerda, G. Training child and adolescent psychiatrists to be culturally competent. Child Adolesc Psychiatr Clin N Am 2010;19(4):815–831.CrossRefGoogle ScholarPubMed
Morawska, A, Fletcher, R, Pope, S, Heathwood, E, Anderson, E, McAuliffe, C. Evaluation of mental health first aid training in a diverse community setting. Int J Ment Health Nurs 2013;22(1):85–92.CrossRefGoogle Scholar
Morgan, C, Charalambides, M, Hutchinson, G, Murray, RM. Migration, ethnicity, and psychosis: toward a sociodevelopmental model. Schizophr Bull 2010;36(4):655–664.CrossRefGoogle Scholar
Neelam, K, Duddu, V, Chaudhry, IB, Antonysamy, AS, Husain, N. A survey of British senior psychiatry trainees’ ethnocultural personal values. Acad Psychiatry 2009;33(5):423–426.CrossRefGoogle ScholarPubMed
OECD: International Migration Outlook 2010.Google Scholar
Oher, FJ, Demjaha, A, Jackson, D, Morgan, C, Dazzan, P, Morgan, K, et al.The effect of the environment on symptom dimensions in the first episode of psychosis: a multilevel study. Psychol Med 2014; 21: 1–12.Google Scholar
Owiti, JA, Ajaz, A, Ascoli, M, de Jongh, B, Palinski, A, Bhui, KS. Cultural consultation as a model for training multidisciplinary mental healthcare professionals in cultural competence skills: preliminary results. J Psychiatr Ment Health Nurs 2014;21(9):814–826.Google ScholarPubMed
Pace, PThe right to health of migrants in Europe. Rechel, BMladovsky, P, Devillé, W, Rijks, B, Petrova-Benedict, R, McKee, M, Migration and health in the European Union. Maidenhead: Open University Press; 2011. 55–66.Google Scholar
Park, S. Psychodynamic cultural psychiatry: a new approach to teaching residents. Psychodyn Psychiatry 2013;41(1):39–56.CrossRefGoogle ScholarPubMed
Penka, S, Kluge, U, Vardar, A, Borde, T, Ingleby, D. The concept of “intercultural opening”: the development of an assessment tool for the appraisal of its current implementation in the mental health care system. Eur Psychiatry 2012;27(2):S63–S69.CrossRefGoogle ScholarPubMed
Qureshi, A, Collazos, F, Ramos, M, Casas, M. Cultural competency training in psychiatry. Eur Psychiatry 2008;23(1):49–58.CrossRefGoogle ScholarPubMed
Rafnsson, SB, Bhopal, RS. Migrant and ethnic health research: report on the European Public Health Association Conference 2007. Public Health 2008;122(5):532–534.CrossRefGoogle ScholarPubMed
Rechel, B, Mladovsky, P, Ingleby, D, Mackenbach, JP, McKee, M. Migration and health in an increasingly diverse Europe. Lancet 2013;381(9873):1235–1245.CrossRefGoogle Scholar
Rucci, P, Piazza, A, Perrone, E, Tarricone, I, Maisto, R, Donegani, I, et al.Disparities in mental health care provision to immigrants with severe mental illness in Italy. Epidemiol Psychiatr Sci 2014; 30: 1–11.Google Scholar
Sandhu, S, Bjerre, NV, Dauvrin, M, Dias, S, Gaddini, A, Greacen, T, et al.Experiences with treating immigrants: a qualitative study in mental health services across 16 European countries. Soc Psychiatry Psychiatr Epidemiol 2013;48(1):105–116.CrossRefGoogle ScholarPubMed
Samu, KS, Suaalii-Sauni, T. Exploring the ‘cultural’ in cultural competencies in Pacific mental health. Pac Health Dialog 2009;15(1):120–130.Google ScholarPubMed
Schouler-Ocak, M, Reiske, S.-L., Rapp, M, Heinz, A. Cultural Factors in the diagnosis and treatment of traumatised migrant patients from Turkey. Transcult Psychiatry 2008;45(4):652–670.CrossRefGoogle ScholarPubMed
Schouler-Ocak, M, Bretz, HJ, Penka, S, Koch, E, Hartkamp, N, Siefen, RG, et al.Patients of immigrant origin in inpatient psychiatric facilities. Eur Psychiatry 2008;23(Suppl 1):S21–S27.CrossRefGoogle ScholarPubMed
Schweitzer, R, Melville, F, Steel, Z, Lacherez, P. Trauma, postmigration living difficulties, and social support as predictors of psychological adjustment in resettled Sudanese refugees. Aust N Z J Psychiatry 2006;40(2):179–187.CrossRefGoogle Scholar
Shaw, SJ, Armin, J. The ethical self-fashioning of physicians and health care systems in culturally appropriate health care. Cult Med Psychiatry 2011;35(2):236–261.CrossRefGoogle ScholarPubMed
Siegel, CE, Wanderling, J, Haugland, G, Laska, EM, Case, BG. Access to and use of non-inpatient services in New York State among racial-ethnic groups. Psychiatr Serv 2013;64(2):156–164.CrossRefGoogle ScholarPubMed
Siegel, C, Davis-Chambers, E, Haugland, G, Bank, R, Aponte, C, McCombs, H. Performance measures of cultural competency in mental health organizations. Adm Policy Ment Health 2000;28(2):91–106.CrossRefGoogle ScholarPubMed
So, CY, Hung, JS, Bauermeister, JJ, Jensen, PS, Habib, D, Knapp, P, et al.Training of evidence-based assessment and intervention approaches in cross-cultural contexts: challenges and solutions. Rev Bras Psiquiatr 2006;28(1):72–75.CrossRefGoogle ScholarPubMed
Srinivasan, M, Li, ST, Meyers, FJ, Pratt, DD, Collins, JB, Braddock, C, et al.“Teaching as a competency”: competencies for medical educators. Acad Med 2011;86(10):1211–1220.CrossRefGoogle ScholarPubMed
Sue, S. In search of cultural competence in psychotherapy and counseling. Am Psychol 1998;53(4):440–448.CrossRefGoogle ScholarPubMed
Sue, S, Zane, N. The role of culture and cultural techniques in psychotherapy. A critique and reformulation. Am Psychol 1987;42(1):37–45.CrossRefGoogle ScholarPubMed
Tarricone, I, Stivanello, E, Ferrari, S, Colombini, N, Bolla, E, Braca, M, et al.Migrant pathways to community mental health centres in Italy. Int J Soc Psychiatry 2012;58(5):505–511.CrossRefGoogle ScholarPubMed
Tarricone, I, Mimmi, S, Paparelli, A, Rossi, E, Mori, E, Panigada, S, et al.First-episode psychosis at the West Bologna Community Mental Health Centre: results of an 8-year prospective study. Psychol Med 2012;42(11):2255–2264.CrossRefGoogle ScholarPubMed
Tervalon, M, Murray-García, J. Cultural humility versus cultural competence: a critical distinction in defining physician training outcomes in multicultural education. J Health Care Poor Underserved 1998;9(2):117–125.CrossRefGoogle ScholarPubMed
Tribe, R. Bridging the gap or damming the flow? Some observations on using interpreters/bicultural workers when working with refugee clients, many of whom have been tortured. Br J Med Psychol 1999;72(Pt4):567–576.CrossRefGoogle ScholarPubMed
Tseng, WS, Streltzer J:, , Tseng, WSStreltzer, J, Cultural competence in clinical psychiatry. Arlington: American Psychiatric Publishing, Inc.; 2004.Google Scholar
Tseng, WS, Streltzer, JCultural competence in health care. A Guide for Professionals. Springer Science + Business Media, LLC; 2008.CrossRefGoogle Scholar
UNHCR Global Reports 2013. Geneva: Schwitzerland: United Nations High Commissioner for Refugees; 2014.Google Scholar
Van Bergen, DD, van Balkom, AJ, Smit, JH, Saharso, S. “I felt so hurt and lonely”: suicidal behaviour in South Asian – Surinamese, Turkish, and Moroccan women in Netherlands. Transcult Psychiatry 2012;49(1):69–86.CrossRefGoogle ScholarPubMed
Van Dyke, C, Tong, L, Mack, K. Global mental health training for United States psychiatric residents. Acad Psychiatry 2011;35(6):354–359.CrossRefGoogle ScholarPubMed
Vardar, A, Kluge, U, Penka, S. How to express mental health problems – Turkish immigrants in Berlin compared to native Germans in Berlin and Turks in Istanbul. Eur Psychiatry 2012;27(2):S50–S56.CrossRefGoogle ScholarPubMed
Vega, WA. Higher stakes ahead for cultural competence. Gen Hosp Psychiatry 2005;27(6):446–450.CrossRefGoogle ScholarPubMed
Veling, W, Selten, JP, Susser, E, Laan, W, Mackenbach, JP, Hoek, HW. Discrimination and the incidence of psychotic disorders among ethnic minorities in The Netherlands. Int J Epidemiol 2007;36(4):761–768.CrossRefGoogle ScholarPubMed
Veling, W, Susser, E, Selten, JP, Hoek, HW. Social disorganization of neighborhoods and incidence of psychotic disorders: a 7-year first-contact incidence study. Psychol Med 2014; 17: 1–10.Google Scholar
Way, BB, Stone, B, Schwager, M, Wagoner, D, Bassman, R. Effectiveness of the New York State Office of Mental Health Core Curriculum: direct care staff training. Psychiatr Rehabil J 2002;25(4):398–402.CrossRefGoogle ScholarPubMed
Wang, S, Kim, BS. Therapist multicultural competence. Asian American participants’ cultural values, and counseling process. J Couns Psychol 2010;57(4):394–401.CrossRefGoogle ScholarPubMed
Warren, BJ. How culture is assessed in the DSM-5. J Psychosoc Nurs Ment Health Serv 2013;51(4):40–45.CrossRefGoogle ScholarPubMed
Weissman, JS, Betancourt, J, Campbell, EG, Park, ER, Kim, M, Clarridge, B, et al.Resident physicians’ preparedness to provide cross-cultural care. JAMA 2005;294(9):1058–1067.CrossRefGoogle ScholarPubMed
Westermeyer, J. Working with an interpreter in psychiatric assessment and treatment. J Nerv Ment Dis 1990;178(12):745–749.CrossRefGoogle ScholarPubMed
WHO Health of migrants – the way forward. Madrid, Spain: Report of a global consultation; 2010.Google Scholar
Willen, SS, Carpenter-Song, E. Cultural competence in action: “lifting the hood” on four case studies in medical education. Cult Med Psychiatry 2013;37(2):241–252.CrossRefGoogle ScholarPubMed
Williams, MT, Domanico, J, Marques, L, Leblanc, NJ, Turkheimer, E. Barriers to treatment among African Americans with obsessive-compulsive disorder. J Anxiety Disord 2012;26(4):555–563.CrossRefGoogle ScholarPubMed
World Migration Report: managing labour mobility in the evolving global economy. International Organization for Migration: Geneva; 2008.Google Scholar
Yamada, AM, Brekke, JS, Addressing mental health disparities through clinical competence not just cultural competence: the need for assessment of sociocultural issues in the delivery of evidence-based psychosocial rehabilitation services. Clin Psychol Rev 2008;28(8):1386–1399.CrossRefGoogle Scholar
Ye, J, Shim, R, Lukaszewski, T, Yun, K, Kim, SH, Ruth, GTelepsychiatry services for Korean immigrants. Telemed J E Health 2012;18(10):797–802.CrossRefGoogle ScholarPubMed
Yeung, A, Johnson, DP, Trinh, NH, Weng, WC, Kvedar, J, Fava, MFeasibility and effectiveness of telepsychiatry services for chinese immigrants in a nursing home. Telemed J E Health 2009;15(4):336–341.CrossRefGoogle ScholarPubMed
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